REMAR VIRTUAL TRAINER NCLEX 2026 EXAM
PREP SCRIPT FULL QUESTION SET APPROVED
◉ In order to determine donor compatibility, what must be done?
Answer: Type & cross match
◉ What must be done to determine a client's baseline before
starting the transfusion? Answer: Vital signs
◉ What size IV gauge must the client have for a blood transfusion?
Answer: 18 gauge with a filter needle
◉ How many nurses confirm the unit of blood? Answer: 2
◉ How long after blood is removed from blood bank's refrigerator
do you have to start it? Answer: 30 minutes
◉ How long must you stay with client after the blood transfusion is
started? Answer: 15 minutes
◉ How many ML are in one unit of packed red blood cells? Answer:
250 mL
,◉ What are the signs of an adverse reaction during a blood
transfusion? Answer: Restlessness
Nausea
Hives
SOB
Fever
Chills
Back pain
◉ What do you do if an adverse reaction occurs during a blood
transfusion? Answer: Stop blood and run the normal saline that
hangs with the blood
Check vitals
Notify the physician & the blood bank
Make sure urine and blood cultures are done
◉ Why must you run blood at a slow rate Answer: Because running
blood fast can cause fluid overload
◉ What drug is also used to treat anemia because it increases red
blood cell production? Answer: Epoetin alfa
,◉ Clients taking Epoetin alfa should be monitored for what?
Answer: Hypertension & seizures
◉ What is blood pressure? Answer: Force of blood flowing through
the arteries
◉ What is the recommended bp? Answer: 120/80
◉ What are the top and bottom values in BP Answer: Systolic = top
value
Diastolic= bottom value
◉ Define the terms systolic and diastolic blood pressure. Answer:
Systolic- pressure while the heart beats
Diastolic- pressure while the heart rests
◉ Which value determines if a person has hypertension (HTN)?
Answer: Diastolic- if the pressure of the heart is elevated at rest then
HTN is present
◉ What are the risk factors for hypertension? Answer: African
American
Obesity
Diabetes
, Smoking
Anxiety- don't forget this one!
◉ What are the physical signs of hypertension? Answer: Headache
Blurry vision
Chest pain
Remember that HTN is known as the "silent killer" because most
people don't have symptoms
◉ How can the size of the blood pressure cuff affect the blood
pressure reading? Answer: If bp cuff is too small, bp will be higher
than it really is
If bp cuff is too large, bp will be lower than it really is
◉ What are some other factors that alter BP? Answer: Position
Caffeine
Anxiety
Activity
◉ What is pulse pressure ? Answer: difference between systolic and
diastolic pressure
PREP SCRIPT FULL QUESTION SET APPROVED
◉ In order to determine donor compatibility, what must be done?
Answer: Type & cross match
◉ What must be done to determine a client's baseline before
starting the transfusion? Answer: Vital signs
◉ What size IV gauge must the client have for a blood transfusion?
Answer: 18 gauge with a filter needle
◉ How many nurses confirm the unit of blood? Answer: 2
◉ How long after blood is removed from blood bank's refrigerator
do you have to start it? Answer: 30 minutes
◉ How long must you stay with client after the blood transfusion is
started? Answer: 15 minutes
◉ How many ML are in one unit of packed red blood cells? Answer:
250 mL
,◉ What are the signs of an adverse reaction during a blood
transfusion? Answer: Restlessness
Nausea
Hives
SOB
Fever
Chills
Back pain
◉ What do you do if an adverse reaction occurs during a blood
transfusion? Answer: Stop blood and run the normal saline that
hangs with the blood
Check vitals
Notify the physician & the blood bank
Make sure urine and blood cultures are done
◉ Why must you run blood at a slow rate Answer: Because running
blood fast can cause fluid overload
◉ What drug is also used to treat anemia because it increases red
blood cell production? Answer: Epoetin alfa
,◉ Clients taking Epoetin alfa should be monitored for what?
Answer: Hypertension & seizures
◉ What is blood pressure? Answer: Force of blood flowing through
the arteries
◉ What is the recommended bp? Answer: 120/80
◉ What are the top and bottom values in BP Answer: Systolic = top
value
Diastolic= bottom value
◉ Define the terms systolic and diastolic blood pressure. Answer:
Systolic- pressure while the heart beats
Diastolic- pressure while the heart rests
◉ Which value determines if a person has hypertension (HTN)?
Answer: Diastolic- if the pressure of the heart is elevated at rest then
HTN is present
◉ What are the risk factors for hypertension? Answer: African
American
Obesity
Diabetes
, Smoking
Anxiety- don't forget this one!
◉ What are the physical signs of hypertension? Answer: Headache
Blurry vision
Chest pain
Remember that HTN is known as the "silent killer" because most
people don't have symptoms
◉ How can the size of the blood pressure cuff affect the blood
pressure reading? Answer: If bp cuff is too small, bp will be higher
than it really is
If bp cuff is too large, bp will be lower than it really is
◉ What are some other factors that alter BP? Answer: Position
Caffeine
Anxiety
Activity
◉ What is pulse pressure ? Answer: difference between systolic and
diastolic pressure
